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2011 May 4;93(Supplement_2):17-21
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Medical necessity documentation requires a diagnosis code supporting the need for IV hydration, objective clinical findings demonstrating dehydration severity (such as vital signs, mucous membrane dryness, skin turgor, or laboratory values), evidence that oral rehydration was attempted or contraindicated, the specific volume of normal saline administered and clinical rationale for that volume, and the patient’s response to therapy
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Keep missing information visible instead of filling it with guesses. Use the table to support judgment rather than replace it.
Consider whether an acceptable alternative could meet the same purpose. Avoid allowing a short deadline to erase an essential requirement.
Use a cropped view when it fully supports your intended point. Keep enough context to avoid misrepresenting the information shown.
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